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Clinical Experience of Cutaneous Squamous Cell Carcinoma Arising in Keratoacanthoma

Other Title
각질가시세포종에서 유래한 편평상피암의 치험례
Authors
신, 승준; 박, 동하
Citation
Journal of the Korean Society of Plastic and Reconstructive Surgeons, 33(4):506-509, 2006
Journal Title
Journal of the Korean Society of Plastic and Reconstructive Surgeons; 대한성형외과학회지
ISSN
1015-6402
Abstract
Purpose:The cutaneous squamous cell carcinoma is the second most common skin malignancy. It is noted that keratoacanthoma is difficult to differentiate from squamous cell carcinoma, clinically or historically. It is still a hypothetical question whether keratoacanthoma is a pseudomalignancy or a form of squamous cell carcinoma.



Methods:We report the case of squamous cell carcinoma around left ala of nose in a 64-year-old female patient. Through an incisional biopsy, the mass was found to be keratoacanthoma in the pathologic report. An excisional biopsy was performed.



Results:Pathologic report notified that it was found well-differentiated squamous cell carcinoma arising in keratoacanthoma with focal involvement of deep resection margin. Wide excision was made with 0.5-1.5cm margin and immediate reconstruction was performed.



Conclusions:The relationship between keratoacanthoma and squamous cell carcinoma has been debated in the treatment. It is still controversial whether to excise it or not. We concluded that kerathoacanthoma must be removed completely.
Keywords
KeratoacanthomaSquamous Cell Carcinoma
Appears in Collections:
Journal Papers > School of Medicine / Graduate School of Medicine > Plastic & Reconstructive Surgery
AJOU Authors
박, 동하
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